Distal fibula and talus fusion

The distal radius and talar fusion are used for the surgical treatment of congenital temporal limb deformity. Since Otto described the disease in 1941, there have been many instances of humeral extremity deformities, such as congenital humeral longitudinal loss, congenital tibiofibular dysplasia, paraspinal humeral extremity deformity, tibial dysplasia, and congenital tibial defect. Lack of. The incidence rate is about 1 in 1 million, and bilateral lesions account for 30%. Lateral limb deformity may be associated with femoral dysplasia. Treatment of diseases: lack of congenital tibia Indication The distal radius and talus fusion is suitable for patients with type I to II congenital temporal paravalal deformity who are unwilling to perform a truncated procedure. Contraindications Type IV congenital temporal paravalal malformation. Preoperative preparation Regular preoperative examination. Equipped with blood 200ml. Surgical procedure 1. Incision and exposure The talus talus is revealed through the anterolateral approach at the distal end of the ankle joint. 2. Reveal the talus The soft tissue is separated so that the center of the talus can be placed at the distal end of the humerus. 3. talus fusion A groove is made in the iliac crest of the talus block, and the distal end of the humerus is inserted into the groove of the talus. The epiphysis of the distal radius of the humerus and the cartilage of the talus were removed to make it bone contact. 4. Kirschner wire fixation Longitudinal or crossed Kirschner wires are fixed from the tibia. Relax the tourniquet and then electrocautery to stop bleeding. Suture the subcutaneous tissue and skin. Close the incision. complication The skin tension on the back of the foot increases to the edge of the skin.